Humana Prior Authorization for CPT 27130
Total hip arthroplasty in OH
Documents Needed
- Clinical notes
Clinical Criteria
Orthopedic surgeries - Hip, knee and shoulder arthroplasty
Source: Humana Commercial Preauthorization and Notification List (July 2024)
Submission Tips
Document medical necessity thoroughly before submitting. Include clinical notes, relevant test results, and a clear rationale for why CPT 27130 is appropriate for the patient's condition.
About CPT 27130
CPT 27130 — Total hip arthroplasty. Prior authorization requirements vary by payer, plan type, and state. Humana requires prior authorization for this procedure in OH.
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Medical Billing Disclaimer
The information provided on this page is for educational and informational purposes only. While we strive to maintain the most current and accurate prior authorization data, requirements change frequently and vary by individual plan type. Always verify prior authorization requirements directly with the payer before performing a procedure. D3rx is not responsible for any claim denials or reimbursement issues.